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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Lumbar Compression Fracture

A spinal fracture common in people with osteoporosis

A compression fracture occurs when a bone in the spine (vertebra) collapses under pressure from above and below.
It is most common in people with osteoporosis (weak, brittle bones) and can happen from a simple fall or even sitting down hard.
In older adults, it is sometimes called a "silent fracture" because it can occur without any obvious injury.

1
Bone density decreases due to osteoporosis

Aging and hormonal changes cause bones to become thin and fragile

2
A minor impact occurs

A fall, sitting down hard, or even a sneeze can apply enough force

3
The vertebra collapses

The weakened bone cannot withstand the pressure and crushes inward

🦴 Osteoporosis 👵 Older Adults 💊 Hormonal Changes 💤 Lack of Exercise
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Severe pain in the lower back or mid-back
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Pain when turning over or getting up
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Increasingly rounded or hunched back
Numbness or weakness in the legs
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Pain Medication
Pain relievers help manage discomfort and improve daily life
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Back Brace (Corset)
A brace supports the spine and keeps the fracture site stable
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Osteoporosis Treatment
Bone-strengthening medication helps prevent future fractures. See our osteoporosis guide for details on these medicines
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Rehabilitation
Gentle movement within pain limits to maintain muscle strength
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Vertebroplasty
A procedure where bone cement is injected to stabilize the fracture. We do not perform surgery here, so we refer you to a partner hospital
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Spinal Fusion Surgery
Metal hardware is used to fix the spine in severe cases. We do not perform surgery here, so we refer you to a partner hospital
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Proper treatment and osteoporosis management are key

In most cases, the bone heals with bracing and good pain control. In older adults, staying in bed for a long time can lead to muscle weakness, so we gradually get you upright as the pain allows. However, once a fracture occurs, the risk of another fracture increases significantly. Treating the underlying osteoporosis and preventing falls are very important.

💡 4 Habits to Help Prevent Fractures

  • Eat foods rich in calcium and vitamin D regularly
  • Stay active with moderate exercise to maintain bone density
  • Reduce fall risks at home (secure rugs, install handrails, etc.)
  • Get regular bone density tests